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BSN 266 MED SURG HESI EXAM 2025 3 VERSIONS 1, 2, & 3 EACH VERSION CONTAINS 100 QUESTIONS AND CORRECT ANSWERS WITH RATIONALES/ HESI MED SURG BSN 266 EXAM TEST BANK NIGHTINGALE (BRAND NEW!)$34.99
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BSN 266 MED SURG HESI EXAM 2025 3 VERSIONS 1, 2, & 3 EACH VERSION CONTAINS 100 QUESTIONS AND CORRECT ANSWERS WITH RATIONALES/ HESI MED SURG BSN 266 EXAM TEST BANK NIGHTINGALE (BRAND NEW!)
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BSN 266 MED SURG HESI
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BSN 266 MED SURG HESI
BSN 266 MED SURG HESI EXAM 2025 3 VERSIONS 1, 2, & 3 EACH VERSION CONTAINS 100 QUESTIONS AND CORRECT ANSWERS WITH RATIONALES/ HESI MED SURG BSN 266 EXAM TEST BANK NIGHTINGALE (BRAND NEW!)
BSN 266 MED SURG HESI EXAM 2025 3 VERSIONS 1, 2,
& 3 EACH VERSION CONTAINS 100 QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES/ HESI MED
SURG BSN 266 EXAM TEST BANK NIGHTINGALE
(BRAND NEW!)
BSN 266 VERSION 1
Which action should the nurse implement on the scheduled day of surgery for
a client with type 1 diabetes mellitus (DM)?
A. Obtain a prescription for an adjusted dose of insulin.
B. Administer an oral anti-diabetic agent.
C. Give an insulin dose using parameters of a sliding scale.
Withhold insulin while the client is NPO
A
Rationale
Stressors, such as surgery, increase serum glucose levels. A client with type 1
DM who is NPO for scheduled surgery should receive a prescribed adjusted
dose of insulin.
The nurse should explain to a client with lung cancer that pleurodesis is
performed to achieve which expected outcome?
A. Prevent the formation of effusion fluid.
B. Remove fluid from the intrapleural space.
C. Debulk tumor to maintain patency of air passages.
Relieve empyema after pneumonectomy
A
Rationale
pg. 1
,Instillation of a sclerosing agent to create pleurodesis is aimed at preventing
the formation of a pleural effusion by causing the pleural spaces sealed
together, thereby preventing the accumulation of pleural fluid.
The nurse obtains a client's history that includes right mastectomy and
radiation therapy for cancer of the breast 10 years ago. Which current health
problem should the nurse consider is a consequence of the radiation therapy?
A. Asthma.
B. Myocardial infarction.
C. Chronic esophagitis with gastroesophageal reflux.
Pathologic fracture of two ribs on the right chest
D
Rationale
The ribs lie in the radiation pathway and lose density over time, becoming
thin and brittle, so the occurence of two right-sided ribs with pathological
fractures resulting without evidence of trauma is related to radiation damage
Three weeks after discharge for an acute myocardial infarction (MI), a client
returns to the cardiac center for follow-up. When the nurse asks about sleep
patterns, the client tells the nurse that he sleeps fine but that his wife moved
into the spare bedroom to sleep when he returned home. He states, "I guess
we will never have sex again after this." Which response is best for the nurse
to provide?
A. Sexual intercourse can be strenuous on your heart, but closeness and intimacy,
such as holding and cuddling, can be maintained with your wife.
B. Sexual activity can be resumed whenever you and your wife feel like it because
the sexual response is more emotional rather than physical.
C. You should discuss your questions about your sexual activity with your
healthcare provider because sexual activity may be limited by your heart damage.
D. Sexual activity is similar in cardiac workload and energy expenditure as
climbing two flights of stairs and may be resumed like other activities
D
pg. 2
,Rationale
Sexual intercourse after an MI, or acute coronary syndrome, has been found
to require no more energy expenditure or cardiac stress than walking briskly
up two flights of stairs, so if you do not experience shortness of breath or chest
discomfort doing the stairs then you should be okay to resume sexual activity
The nurse is caring for a client scheduled to undergo insertion of a
percutaneous endoscopic gastrostomy (PEG) tube. The client asks the nurse to
explain how a PEG tube differs from a gastrostomy tube (GT). Which
explanation best describes how they are different?
A. Method of insertion.
B. Location of the tubes.
C. Diameter of the tubes.
D. Procedure for feedings.
A
Rationale
The best explanation of how a PEG tube differs from a GT is by the method of
insertion. GT insertion involves making an incision in the wall of the abdomen
and suturing the tube to the gastric wall. A PEG tube is more commonly used
due to the fact it does not require general anesthesia and less invasive due to
being inserted with endoscopic visualization through the esophagus into the
stomach and then pulled through a small incision in the abdominal wall and
held in place by a tiny plastic device called a "bumper" that holds the g-tube
in place inside the stomach and a small water-filled balloon which keeps the
stomach in place against the abdominal wall
A client with a recent history of blood in his stools is scheduled for a
proctosigmoidoscopy. The nurse should implement which protocols to prepare
the client for this procedure? (Select all that apply.)
Select all that apply
pg. 3
, A. Obtain consent for the procedure.
B. Initiate preoperative sedation.
C. Begin fast the morning of the procedure.
D. Administer an enema before the procedure.
E. Provide a clear-liquid diet 48 hours before the procedure
D,E
Rationale
The usual preoperative preparation for proctosigmoidoscopy entails obtaining
the client's consent to the procedure, a clear-liquid diet for 24 to 48 hours
prior to the procedure, administration of an enema, and fasting on the
morning of the procedure.
A female client with type 2 diabetes mellitus reports dysuria. Which
assessment finding is most important for the nurse to report to the healthcare
provider?
A. Suprapublic pain and distention.
B. Bounding pulse at 100 beats/minute.
C. Fingerstick glucose of 300 mg/dl.
D. Small vesicular perineal lesions.
C
Rationale
Elevated fingerstick glucose levels need to be reported to the healthcare
provider, so a plan of care can be adjusted to treat the elevated glucose level.
Also, elevated glucose levels spill into the urine and provide a medium for
bacterial growth
A client with acute osteomyelitis has undergone surgical debridement of the
diseased bone and asks the nurse how long will antibiotics have to be
administered. Which information should the nurse communicate?
A. Oral antibiotics for 2 to 4 months, then for dental procedure prophylaxis.
pg. 4
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